Jennifer A. Bevan, M.D.

Pediatrics Physician · Lake Bluff, IL

Individual Active NPI

NPI number 1467490052

Practice location

917 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone
(847) 295-1220
Fax
(847) 295-1255

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NPI record

NPI
1467490052
Entity type
Individual (Type 1)
Enumeration date
June 3, 2006
Last updated
March 20, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 36100251 IL

About Dr. Bevan

Jennifer A. Bevan, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 917 Sherwood Dr, Lake Bluff, IL 60044-2203. The NPI number 1467490052 was assigned on June 3, 2006 and the record was last updated on March 20, 2015.

Dr. Bevan lists a license in the registry: #36100251 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer A. Bevan, M.D.?

The NPI number is 1467490052.

What is the phone number of Dr. Bevan?

The phone number listed for the practice location is (847) 295-1220.

Where is Dr. Bevan located?

917 Sherwood Dr, Lake Bluff, IL 60044-2203.

What is the taxonomy code for Dr. Bevan?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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